探讨分析应用加温输液法为妇科疾病患者进行静脉输液的临床效果  

The clinical effect of warming transfusion in gynecological patients undergoing intravenous infusion

作　　者：宋健华[1] 王海燕 SONG Jianhua;WANG Haiyan(Emergency Infusion Room,Nantong Hospital of Traditional Chinese Medicin,Nantong 226001,Jiangsu,China)

机构地区：[1]南通市中医院急诊输液室

出　　处：《中国性科学》2019年第11期130-132,共3页Chinese Journal of Human Sexuality

摘　　要：目的观察在妇科疾病患者进行静脉输液时中采取加温输液法的临床效果分析。方法选取2016年2月至2017年6月南通市中医院妇科诊治的542例需行静脉输液治疗的患者作为研究对象。按照就诊顺序分成对照组(271例)与实验组(271例),其中对照组采取常规输液法护理,而实验组采取加温输液法护理。对照两组患者输液过程中不良反应的发生率(输液局部皮温低、静脉炎、体温下降/寒颤、腹痛腹泻、心率加快、局部血管痉挛、四肢发冷、输液不畅),流出液体温度,护理满意度评分对照。结果实验组与对照组输液局部皮温低发生率为(0%、4.8%)、静脉炎发生率为(0.74%、4.43%)、体温下降/寒颤发生率为(0%、3.69%)、腹痛腹泻发生率为(0.74%、4.06%)、心率加快发生率为(0.74%、4.8%)、局部血管痉挛发生率为(0.37、3.32%)、四肢发冷发生率为(0%、3.69%)、输液不畅发生率为(0.37%、6.27%),并发症总发生率为(2.95%、35.05%),差异具有统计学意义(P<0.01)。实验组患者流出液体温度、护理满意度评分明显高于对照组,差异具有统计学意义(P<0.001)。结论在妇科疾病静脉输液患者中,采取加温输液法进行护理干预,可明显提高输液温度使其适宜体温,减少患者在输液过程产生的寒颤、静脉刺激等不适感,提高患者对护理的满意度评分拉近护患距离,效果理想。Objective To observe the clinical effect of warming transfusion in gynecological patients undergoing intravenous infusion.Methods A total of 542 gynecologic patients who needed intravenous infusion from February 2016 to June 2017 were divided into control group(271 cases)and experimental group(271 cases)according to the order of treatment.The control group was given routine infusion nursing,while the experimental group was given warming infusion nursing.The incidence of adverse reactions(low skin temperature,phlebitis,hypothermia/chills,abdominal pain,diarrhea,heart rate acceleration,local vasospasm,limb chills,infusion obstruction)during infusion,the temperature of effluent and nursing satisfaction score were compared between the two groups.Results The incidence of local skin temperature low(0%,4.8%),phlebitis(0.74%,4.43%),hypothermia/chills(0%,3.69%),abdominal pain and diarrhea(0.74%,4.06%),heart rate acceleration(0.74%,4.8%),local vasospasm(0.37%,3.32%),limb chills(0%,3.69%)and fluid obstruction(0.37%,6.27%)and the total incidence of complications(2.95%,35.05%)were observed in the experimental group and the control group,with statistically significant differences(P<0.01).The outflow liquid temperature and nursing satisfaction scores of the experimental group were significantly higher than those of the control group,with statistically significant difference(P<0.001).Conclusions In patients with gynecological diseases undergoing intravenous infusion,warming transfusion can significantly increase the temperature of infusion to make it suitable for body temperature,reduce the discomfort of shivering and vein stimulation during infusion,improve patients'satisfaction score for nursing and shorten the distance between nurses and patients,with ideal effect.

关 键 词：加温输液法 妇科 静脉输液 临床效果分析 

分 类 号：R275[医药卫生—中医皮科]